Health Beat

Safety Tips For Shoveling Snow This Winter

Posted on February 9, 2018 by Michael Hinck

Winter and snow go hand in hand and this weekend’s forecast calls for snow. In preparation of this, Flushing Hospital would like to provide you with some heart health tips before you go out to shovel snow.

By now, we have all heard about the risk of shoveling snow and suffering a heart attack, but is this true? The fact is shoveling snow (or to a less extent, even pushing a heavy snow blower) is considered a more strenuous activity than running full speed on a treadmill. But why should pushing around some white flakes be more dangerous than any other form of exercise?

The biggest reason why heart attacks are so common while snow shoveling has as much to do with the weather as it does with the activity. The cold temperature is a key contributor to the onset of a heart attack. Frozen temperatures can boost blood pressure, interrupt blood flow to the heart, and make blood more likely to clot.

Another factor to consider is who is doing the shoveling. If you are a healthy and physically fit individual there is much less of a risk to suffer a heart attack, but unfortunately not everyone who attempts to shovel snow fits into that category. For those who do not exercise as frequently, (especially during the winter when we tend to be less active) or have a history of hypertension or heart disease need to follow the following tips before going out to shovel:

Avoid shoveling as soon as you wake up as this is when most heart attacks occur
Do not drink coffee, eat a heavy meal or smoke cigarettes immediately before or while shoveling
Warm up your muscles before you begin
Shovel many light loads instead of fewer heavy ones
Take frequent breaks
Drink plenty of water to avoid dehydration

Know the early signs and symptoms of a heart attack. If you experience a squeezing pain in your chest, shortness of breath, racing heartbeat, pain radiating from your left shoulder and down your left arm, cold sweats, accompanied by fatigue and nausea, stop shoveling, go inside and call 911 immediately.
If you are at a high risk of suffering a heart attack, avoid shoveling snow completely. Try asking a family member, friend or neighborhood teen to help you out.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Are Dental Sealants Effective?

Posted on February 8, 2018 by Joann Ariola

Though tooth decay is a growing problem among children and young adults, preventative measures, such as dental sealants and fluoride treatments, can help keep your child smiling brightly.

Children and young adults are more prone to tooth decay for two main reasons: diet and poor oral hygiene. Tooth decay occurs when bacteria in the mouth uses sugar (from foods or drinks) to produce acids that dissolve and damage the teeth. A diet consisting of frequent consumption of sugary drinks, candy, and gum greatly contributes to tooth decay. Additionally, inadequate flossing and failure to properly brush at least two times a day, for three minutes each, allows bacteria to grow.

Preventing Tooth Decay
Dental sealants are a great way to protect your teeth against the bacteria that causes tooth decay. Sealants are usually applied to the chewing surfaces of back teeth (premolars and molars) where decay occurs most often. The procedure is simple and pain-free.

Fluoride can also help prevent tooth decay. Dentists apply a fluoride treatment, either a gel, foam, or varnish, directly to the teeth and let it set for approximately four minutes. In addition to an in-office treatment, fluoride can be found in several brands of toothpaste and even tap water.

For more information or to schedule an appointment, please call Flushing Hospital’s Department of Dentistry at 718-670-5521.

Fibromyalgia

Posted on February 7, 2018 by Andrew Rubin

Fibromyalgia is a condition thought to be caused by an increase in the way the brain processes pain sensation throughout the musculoskeletal system of the body. The result is a chronic sensation of pain that is often debilitating and life changing. Women tend to be affected by fibromyalgia more than men but the reason for that is unclear. In some people, fibromyalgia appears after a trauma, a surgical procedure, an infection, or after a stressful event. There also may be some correlation to it running in families.
Scientists believe that there may be an overstimulation of the pain receptors that causes the symptoms. Symptoms of fibromyalgia include:
• Pain all over the body
• Fatigue
• Difficulty focusing
• Migraine headaches
• Anxiety
• Depression
Fibromyalgia is diagnosed through a physical exam and blood tests that examines thyroid function, red and white blood cell count, rheumatoid arthritis factor and the erythrocyte sedimentation rate. If a person has pain for three months and no obvious medical reason for it, it might be reason to rule out fibromyalgia.
There is no one method of treating fibromyalgia that is completely effective.
• Treatment options include:
• Physical therapy
• Pain relievers
• Anti-depressants
• Getting adequate rest
• Acupuncture
• Regular exercise
If you have symptoms of fibromyalgia and would like to schedule an appointment with a doctor at Flushing Hospital, please call 718-670-5486.

How to Spot and Prevent Frostbite

Posted on February 6, 2018 by Xavia Malcolm

Frostbite is an injury caused to the skin and underlying tissues as a result of exposure to windy and cold- weather conditions.

Staying outside in extreme weather conditions for extended periods of time is the most common factor and risks increase when temperatures fall below 5°farenheit, or in conditions with above freezing temperatures and extreme wind chills. Additional factors may include:

Direct contact with ice, very cold liquids and freezing metals.
Wearing clothing that is not suitable to protect against cold weather.

Although frostbite mostly occurs on parts of the skin that are not properly covered, it is important to note that in extreme temperatures it can also develop on areas that are covered by clothing.

Our nose, fingers, cheeks, ears and toes are the parts of our bodies that are highly susceptible to frostbite. They are furthest away from our core and are first to decrease in blood flow in cold temperatures.

The symptoms of frostbite vary with severity and are categorized in three stages:

Frostnip: This is a mild form of frostbite. Skin may turn pale or very red and feels cold. The affected areas may also itch, burn, sting or feel tingly. Continued exposure may lead to a “pins and needles” feeling or numbness.

Superficial Frostbite: Skin appears reddened or pale. Skin can become hard and look waxy or shiny. At this stage, after the skin is thawed, blisters may form on the affected area. Skin may also appear blue or purple once rewarmed.

Severe (Deep) Frostbite: Severe cases of frostbite affect all layers of the skin as well as the tissues that lie below. Skin becomes very hard and cold to the touch. It may look blue and some instances black, as the tissue dies. The affected area may lose all sensation and joints or muscles may no longer work.

Some people are more at risk of developing frostbite than others, they include:

The elderly
Young children
Patients taking medication such as beta blockers that reduce blood flow to skin
Diabetics
People who use nicotine
People under the influence of alcohol
People with prior cold-related injuries

Frostbite is preventable. If you expect to spend time outdoors in cold weather, take care in protecting yourself. Dress appropriately and in layers. When temperatures become extreme, stay inside as much as possible. It is also advised that you stay hydrated; dehydration increases your risk of frostbite. Avoid drinking alcohol or smoking if you know you will be outside in the extreme cold.

How Can Wearing Gloves Get You Sick?

Posted on January 31, 2018 by Michael Hinck

We wear gloves during this time of year to protect ourselves from the cold, wintery elements. These accessories are meant to serve as a layer of defense, but could they actually contribute to getting us sick during cold and flu season?

While outer garments like gloves serve a very important function in keeping us warm, they can also be the potential transmitter of harmful germs if they are not washed regularly. When you think about it, we use our gloves when we open doors, hold escalator rails, and ride the train, all of which are breeding grounds for viruses. After touching these things, we might use our glove covered hands to scratch our noses and cover our mouths. In a pinch, we might even use our gloves to wipe our nose when a tissue isn’t available. These actions can take place every day for the duration of the winter, but ask yourself when was the last time you washed your gloves? The fact is gloves pick up everything bare hands do and very few people wash their gloves frequently enough.

It is estimated that certain viruses such as the flu can live on your gloves for two to three days, while stomach viruses, such as the rotavirus and norovirus can remain active for up to a month.

To avoid getting sick from your gloves, follow these simple tips:

Wash them at least once a week. Cotton products are easiest to clean by using a washing machine while wool products need to be hand washed. Leather gloves will require dry cleaning
Never use your mouth to pull off your gloves. The best way to remove your gloves is from back to front, similar to healthcare workers
If you are wearing your gloves in snowy or wet conditions, allow them to air dry rather than shoving them into your pockets or into the sleeve of your coat.
Avoid touching ATMs, elevator buttons, railings, or shopping carts with a gloved hand. It is much easier to sanitize your bare hand than it is to clean your gloves
Always wash your hands after removing your gloves to avoid contamination

Following these steps can reduce the chances of getting sick this winter.

When the Flu Becomes Deadly

Posted on January 31, 2018 by Andrew Rubin

This year’s flu season is severe. Not only are hospital emergency rooms receiving people with the flu in record numbers but there has also been reports of higher than average flu- related deaths.
Most people who get the flu will recover in five to seven days. However, in some cases, the virus can cause complications that can be life threatening.
Some people are more at risk than others for developing serious flu-related illnesses; they include:
•Young children, usually under the age of two
•Older adults, typically over 65
•Women who are pregnant
•Cancer patients receiving chemotherapy
People who are immunocompromised and have chronic illnesses such as asthma, diabetes, HIV or AIDS and sickle cell anemia are especially at higher risk for developing life- threatening complications from the flu.
The flu can lead to secondary bacterial infections. This can cause pneumonia and other complications that become harder to treat due the immune system’s weakened state.
The key to treating the flu is to act quickly as soon as you begin to develop symptoms. For some people just staying home, getting bed rest, and staying hydrated will help them to recover. In more severe cases, it may be necessary to seek medical attention.
Your primary care physician will be best suited to diagnose you and to offer you treatment options. If you would like to schedule an appointment with a physician at Flushing Hospital, please call 718-670-5486.

January’s Employee Spotlight Shines on Soomita Tewari

Posted on January 30, 2018 by Joann Ariola

This month the Flushing Hospital Medical Center’s Employee Spotlight shines on Soomita Tewari, Executive Assistant to President and CEO, Bruce J. Flanz, as well as the Executive Vice President and Chief Operating Officer, Robert Levine.

As Executive Assistant, Soomita regularly schedules appointments, creates reports and sends correspondence, attends meetings and records minutes from the meeting. She further acts as a liaison between administration and staff in an effort to ensure smooth operations at the hospital. As the Administrative Office “Gatekeeper” she screens and directs calls and issues to the appropriate departments for follow-up, manages office services and supervises the Executive Receptionist.

Soomita Tewari joined the MediSys Health Network in 2007 as the Administrative Assistant in Performance Improvement (PI). She worked in PI for six years before becoming the Medical Staff Coordinator.

In 2013, after being offered the position of Executive Assistant, Soomita joined the staff at Flushing Hospital Medical Center.

Soomita holds an Associate’s Degree in Health Service Administration, a Bachelor’s Degree in Health Information Management and gained the certification of a Registered Health Information Administrator (RHIA) and a Notary Public, which assist her in the position she holds.

Soomita is a dedicated wife and mother of two children who moved from Guyana to the U.S. in 2000, seeking a new future for her family. Her hobbies include yoga, reading and watching movies. She is the treasurer of Shri Surya Narayan Mandir and a community outreach member of Surya Narayan Seva Outreach Sang.

When asked what the most rewarding part of her job is, Soomita responded, “When I first interviewed, Mr. Flanz told me that I would have to be the face and voice of Flushing Hospital. Even though I know we are all representatives of the hospital, this statement stayed with me. I take pride in being an “Ambassador” of the hospital and try to treat everyone that interacts with Administration with a welcoming attitude and utmost respect. I try to make everyone feel as though they are a part of the team because in essence, we are all part of the team.”

Although her job can present many challenges, Soomita Tewari faces each with her signature smile, calm demeanor and professionalism. She is a wonderful asset to the Flushing Hospital Medical Center team.

Types and Stages Of Lung Cancer

Posted on January 30, 2018 by Xavia Malcolm

Non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) are the two major types of lung cancer. About 80 to 85% of diagnosed cases of the disease are attributed to NSCLC and the remaining 10 to 15% to SCLC.

Once diagnosed, a doctor will try to determine how much cancer has spread; this process is known as staging. Different stages of each disease describe how much cancer is in the body and can help doctors to decide on suitable treatment options.

The staging system most commonly used for NSCLC is the American Joint Committee on Cancer (AJCC) TNM system. There are four stages which include:

Stage 1- Cancer is found only in the lungs and has not spread to lymph nodes.

Stage 2 – Cancer is found in the lungs and surrounding lymph nodes.

Stage 3- Cancer is found in the lungs, lymph nodes, and in the middle of the chest.

Stage 4- Cancer is found in the lungs, fluid in the area around the lungs, as well as other parts of the body and other organs.

The stages of SCLC are based on the results of biopsies, physical exams, imaging tests or any additional form of testing used to determine how far this type of cancer has advanced. Doctors typically use a two-stage system to help them to decide which form of treatment is best. The stages of SCLC are:

Limited Stage- This is when cancer is found in only one side of the chest and in the lymph nodes above the collarbone – on the same side of the chest.

Extensive Stage- This describes when cancer has spread to lungs, the lymph nodes and other parts of the body.

Treatment for each type of lung cancer varies by stage. Typical approaches for NSCLC may include surgery, radiation, immunotherapy or chemotherapy. Radiation or chemotherapy are the most common types of treatment used for patients diagnosed with SCLC.

Pulmonary medicine is the branch of medicine that deals with the causes, diagnosis, prevention and treatment of diseases affecting the lungs. Pulmonary medicine is also sometimes called pulmonology.

The Division of Pulmonary Medicine at Flushing Hospital Medical Center is dedicated to providing outstanding inpatient and outpatient care through the use of certified physicians and modern research. A variety of conditions are treated and diagnosed in the Pulmonary Department including Lung Cancer, Emphysema, COPD and Asthma.

To schedule an appointment with a pulmonologist at Flushing Hospital, please call 718-670-5486.

Flushing Hospital Doctors Nominated As Region’s Top Doctors

Posted on January 30, 2018 by Xavia Malcolm

For more than two decades, Castle Connolly Medical Ltd. has been a recognizable resource for identifying the area’s Top Doctors.

The organization’s selection process is based on peer nominations, of which more than 50,000 physicians, hospital and healthcare executives are contacted directly for their input. The Castle Connolly physician-led research team then carefully reviews the credentials of every physician that is considered for inclusion in Castle Connolly Guides®, magazine articles and websites. After a thorough review of credentials, nominated physicians are chosen to appear on the list of Castle Connolly Top Doctors.
This year we are pleased to announce that three doctors from Flushing Hospital Medical Center have been selected as Top Doctors in the New York Metro Area for 2018.

Doctors affiliated with Flushing Hospital Medical Center are:
• Jang A. Chadha, Pulmonary Disease
• Allen J. Fishman, Ophthalmology
• Alan P. Zeitlin, Surgery

The Medisys Health Network prides itself on providing the highest quality of care to all of our patients. We congratulate all of our doctors chosen for the 2018 Castle Connolly Top Doctors Guide.

Flushing Hospital Recognized As a Bariatric Center of Excellence

Posted on January 29, 2018 by Flushing Hospital

Patients seeking surgical treatment for severe obesity and its related conditions now have a high-quality choice for receiving treatment at a nationally accredited program that meets the highest standards for patient safety and quality of care, close to home.

Flushing Hospital Medical Center (FHMC) announced its Bariatric Surgical Center has been accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS). There are only 16 centers that have achieved this accreditation in New York City.

According to Sanjeev Rajpal MD, Metabolic and Bariatric Surgery Director at Flushing Hospital, “To earn the prestigious designation, the hospital met essential criteria for staffing, training and facility infrastructure and protocols for care, ensuring its ability to support patients with severe obesity.” As part of its commitment to quality assurance, Flushing Hospital participates in a national data registry that yields semiannual reports on the quality of its processes and outcomes, identifying opportunities for continuous quality improvement.

The Flushing Hospital Bariatric Surgical Center opened in 2014 and has performed over 200 bariatric [weight loss surgery] procedures with outstanding outcomes. The center upholds the MBSAQIP standards by offering patients a high quality, multidisciplinary program that includes surgical and non- surgical interventions aimed to improve long-term, weight loss success.

In the United States, around 15.5 million people suffer from severe obesity, according to the National Institutes of Health. Obesity increases the risks of morbidity and mortality because of the diseases and conditions that are commonly associated with it, such as type II diabetes, hypertension, and cardiovascular disease. Metabolic and bariatric surgical procedures have proven to be effective in the reduction of comorbid conditions related to severe obesity.

Flushing Hospital offers a variety of weight-loss surgery procedures, based on the specific needs of their patients. Surgical options including Gastric Bypass, Lap Band, Sleeve Gastrectomy and Gastric Revisions are performed by a highly trained team of surgeons, led by Rajpal, using minimally invasive techniques and in some cases, the aid of the highly advanced da Vinci Robotic Surgical Platform.

The multidisciplinary team at Flushing Hospital’s Bariatric Surgical Center also provides many compassionately delivered services to help patients succeed in every step of their weight loss surgery. The Center offers close physician monitoring, pre and post-surgical psychological evaluations, personalized diet and nutritional counseling as well as ongoing education and support groups.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-670-8908